초록접수 현황
| 14F-084 | 구연 발표 |
Simulation of Single Port Thoracoscopic Surgery: Comparative Study of Two- with Three-dimensional Video System
Kook Nam Han, Hyun Koo Kim, Hyun Joo Lee, Young Ho Choi
Thoracic and Cardiovascular Surgery, College of Medicine, Korea University Guro Hospital, Seoul, Korea
Background : Usual video systems for thoracoscopic surgery provide the surgeon a two-dimensional image (2D). This study aimed to evaluate performances of a three-dimensional (3D) video system compared with 2D system on simulation for single-port surgery training.
Methods : We conducted simulation program for single port thoracoscopic surgery using 2D and 3D high definition system (Viking, Massachusetts, USA) for trainee. The program included three basic surgical tasks; 1) ring transfer, 2) needle passing through 3-mm hole, 3) suturing through tailor-made skin suturing model, through 3-cm single port training module (Fig.1). We evaluated the time to completion and success or failure within limited time in each tasks.
Results : 19 trainee who had not experienced thoracoscopic or robotic surgery, performed three surgical simulation tasks under 2D and 3D system respectively. 18 participants (94.7%) in task 1 and 2, 14 (73.7%) in task 3, showed improved performance and spent less time to complete the tasks using 3D system (Fig.2). On post-surveillances, trainee indicated that the advantages of 3D system compared to 2D during procedure was easier depth perception of internal structure (n=11, 57.9%), improved handling of instruments (n=8, 42.1%). All participants were not disturbed by wearing glasses for 3D vision or had not felt severe eye discomfort during the simulation.
Conclusion : Three-dimensional video system have improved procedure time and performance during simulation for single port thoracoscopic surgery for trainee. It should facillitate the single port surgery to more complex procedures and help to expand the users interested in single port VATS.
Methods : We conducted simulation program for single port thoracoscopic surgery using 2D and 3D high definition system (Viking, Massachusetts, USA) for trainee. The program included three basic surgical tasks; 1) ring transfer, 2) needle passing through 3-mm hole, 3) suturing through tailor-made skin suturing model, through 3-cm single port training module (Fig.1). We evaluated the time to completion and success or failure within limited time in each tasks.
Results : 19 trainee who had not experienced thoracoscopic or robotic surgery, performed three surgical simulation tasks under 2D and 3D system respectively. 18 participants (94.7%) in task 1 and 2, 14 (73.7%) in task 3, showed improved performance and spent less time to complete the tasks using 3D system (Fig.2). On post-surveillances, trainee indicated that the advantages of 3D system compared to 2D during procedure was easier depth perception of internal structure (n=11, 57.9%), improved handling of instruments (n=8, 42.1%). All participants were not disturbed by wearing glasses for 3D vision or had not felt severe eye discomfort during the simulation.
Conclusion : Three-dimensional video system have improved procedure time and performance during simulation for single port thoracoscopic surgery for trainee. It should facillitate the single port surgery to more complex procedures and help to expand the users interested in single port VATS.
책임저자: Hyun Koo Kim
Thoracic and Cardiovascular Surgery, College of Medicine, Korea University Guro Hospital, Seoul, Korea
연락처 : Kook Nam Han, Tel: 02-2626-3252 , E-mail : hdoc@snu.ac.kr
